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HomeMy WebLinkAbout0001 LEWIS BAY ROAD - HAZMAT � Lewis �2y I�ocs� � _ -- - VA TOXIC AND HAZARDOUS MARIALS REGISTRATION FORM o ,,t Ps �' �� w,4p � .�.� sue. NAME OF BUSINESS: kW- � Z�" e'1 6� Mail To. Board of Health MAILING ADDRESS: Z 4e1d1`.s ' AW �E-04"_;V Town of Barnstable TELEPHONE NUMBER: '?7 �' P.O. Box 534 CONTACT PERSON: / i Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials Ii ted below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO�T This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must_be registered when store Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners • Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline; Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) - LR 0 (51 Other cleaning solvents ��t��c.4-c J 'r'e�+I� Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfacto 2.Printers BOARD OF HEALTH 3.Auto Body Shops JAMES E. NADEAU, D.U.S. O unsatisfactory- 4.Manufacturers (r M .LANGSMN, D.D.S.,M.S. (see Orders ) 5.Retail Stores 7 - 6.Fuel Suppliers ADDRf§§ 7.Miscellaneous 1=�If�IS l�AY Ftdl�� Class: HYANNIS, MASS.0260'QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline, t 1(A) iesel, Kerosene, it (B) s C� ! l> was e na . ne. motor oil (C) trans ission/hydr ulic Synthe is Orga cs: degrea ers Miscella ous: DISPOS=CLAMATION REMARKS: �aF P V1. Sanitary Sewage. �Water Supply 1 'I Z-76 O Town Sewer &Public On-site OPrivate V 3. Indoor Floor Drains YES N0_� O Holding tank:MDC O Catch basin/Dry well O On-site system r4. Outdoor Surface drains:YES N0_X,_ ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system IY .Waste Transporter Name of Hauler Destination Waste Product , r t E.�- YES NO e- Sa �QV 2. 4 v-v )' Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: NFL- �N��� a �sp`itWk- \_W% �N` MAILING ADDRESS: '�`� L�w�S 1 Q,� `,o C\ TELEPHONE NUMBER: '�'�s-y�-�--` \'��`���� \ e'tw,N CONTACT PERSON: \ZZ41:wP_\x\VtZ'. Does your firm store any of-the toxic or hazardous--mat eriai-s- 1 sted beivw; either for sale or for your own use, in quantities totalling, at an time, mor than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS .MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that.you store: Antifreeze (for gasline or coolant systems) Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) I Other petroleum products: grease, Swimming Pool chlorine j lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners j Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar rbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners. Any other products with Paint & Varnish removers, deglossers "Poison" labels uding Paint brush cleaners hloroform, ormaldehyd Floor & Furniture strippers hydro c oric acid, other Metal polishes cids) Laundry soil & stain removers (including bleach) Other products not listed Spot removers & cleaning flu-ids which you feel may be (dry cleaners) R _ �. �� dV D toxic or hazardous (please Other cleaning solvents HEALTH DEPT. lis 1.« \ Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners � � Toilet cleaners Cesspool cleaners MAY 1 4 1981 Disinfectants Road Salt (Halite) \ �� S l� ice.� ���� , �`��°�► ���� °r'\` 1'► rb1� 5 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM t NAME OF FIRM: Le f ,s 9,K SCbh PU MAILING ADDRESS:�L,605 sf TELEPHONE NUMBER: r7`7 rj - 3 g g� CONTACT PERSON: Does.. your firm-.sto.re- any of the"toxic or�--hazardous.materials -listed.,below,, either for sale or for your own use, in quantities totalling, at anytime, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO r This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: /� ®-p ADDRESS: /s Az&l TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50,gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that.you store: Antifreeze (for gasline or coolant systems) Refrigerants —`�— Automatic transmission fluid w Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel Kerosene #2 heatingoil Other petroleum products: grease, (creosote) Swimming Pool chlorine lubricants Lye or caustic soda i Degreasers for engines and metal Jewelry cleaners I Degreasers for driveways & garages Leather dyes Battery acid, (electrolyte) Fertilizers (if stored Rustproofers outdoors) ? Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon _ Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) E C E IV E D— which you feel may be Spot removers & cleaning fluid-!REALTH DEPT. (dry cleaners) TOWN OF BARNSTABLE st.,;: toxic or hazardous (please Other cleaning solvents li Bug and tar removers Household cleansers, oven cleaners i Drain cleaners Toilet cleaners JUN 2 1981 Cesspool cleaners Disinfectants Road Salt (Halite) TOVVN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM p, - r� � u Major types of materials: 1 2) 3) 4) .. A _5) , 6) I. Description of material(s) use: ' (it�C II. Storage (denote product by number listed above) A. Containers . m et a V X Vass paper plastic cans,bottles,jars . ` drums,barrels:`f b4/ aboveground tanks underground tanks / U . bags,boxes. open,loose,uncovered inadequate labelling B. Storage Facility Vor•# Remarks/Recommendations 1. Indoor a) separatt-, contained room ` b) stored in general work area -i) inadequate ventilation floor drains_ "" iii)-"inadequate- fire protection 2. Outdoor uncovered ex os.ed. to_;weather.- b)' peru ous=. surface/-catch--basins ? o III. Disposal A. Reclamation/Recycling unit B. On-site disposal- . .� 1. Town. sewer ° 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1, hauled by own firm 2. hired hauler 44 a) name of hauler b) address or disposal site Person(s) Interviewed% _ _ ► _ _ Inspector Date © � . TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: s� ,9 °tj B � �. MAILING ADDRESS: 3&2 S°r A/X�7/u/0 r J�J � .� ® �,�✓'°�� TELEPHONE NUMBER: ; CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below; either for sale or for your own use, in quantities totalling, at any-time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO- c This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems) _ Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes. . .. .. herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel ood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal g g Degreasers for driveways & garages Jewelry cleanersLeather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) _k,--- Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers Paint brush cleaners Poison„ labels (including—1� Floor & Furniture strippers chloroform, formaldehyde,hydrochloric acid, other Metal polishes acids) Laundry soil& stain removers_(including bleach) Other products not listed Spot removers & cleaning fluids which you feel may be (dry cleaners) c C E I V E D toxic or hazardous (please Other cleaning solvents HEALTH DEPT. list) TOWN OF BARN STABLE Bug and tar removers _ Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants M,AY 2 0 1981 Road Salt (Halite )